Provider Demographics
NPI:1538344601
Name:TAN, MING (MD)
Entity type:Individual
Prefix:DR
First Name:MING
Middle Name:
Last Name:TAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UC IRVINE DEPARTMENT OF MICROBIOLOGY
Mailing Address - Street 2:B240 MED SCI
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92697-4025
Mailing Address - Country:US
Mailing Address - Phone:949-824-3397
Mailing Address - Fax:
Practice Address - Street 1:UC IRVINE DEPARTMENT OF MICROBIOLOGY
Practice Address - Street 2:B240 MED SCI
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92697-4025
Practice Address - Country:US
Practice Address - Phone:949-824-3397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45686207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine